Elena Seanez
El Paso,TX
Summary
Personable and dedicated with extensive experience in Employee Benefits. Solid team player with an upbeat, positive attitude and proven skill in establishing rapport. Motivated to maintain and contribute to company success. Articulate, enthusiastic, and results-oriented with a demonstrated passion for building relationships, cultivating partnerships, and growing within my career.
Overview
3
3
years of professional experience
Work History
Benefit Solution Specialist
ADP
El Paso, TX
04.2022 - Current
- Assisted employers HRIS to ensure employees had access to enroll in benefit plans and clear explanations of plan options.
- Processed benefit enrollment, changes, and terminations. and insured carriers were updated via EDI files or Manual updates.
- Monitored compliance with federal and state regulations concerning employee benefits such as ACA and COBRA.
- Explained the impact of life events such as marriage or divorce on benefits enrollment status. and ensured the system would trigger enrollment profiles accordingly.
- Created a plan of action outlining steps needed for successful completion of the annual open enrollment process.
- Assisted with EDI files maintenance and implementation.
- Reconciled monthly invoices and resolved with brokers and carriers any discrepancies.
Operations Manager
Five Points Health Benefit Plans
El Paso, TX
04.2021 - 04.2022
- Coordinated with other departments including sales, marketing, finance, and human resources to ensure efficient operations.
- Developed key performance indicators to measure the effectiveness of operational processes our employees had with customers and providers.
- Implemented innovative strategies such as integrating our claims process with our members' database records that reduced operating costs while maintaining high levels of customer and providers satisfaction.
- Provided technical expertise in the design and implementation of automated systems used in the operations department.
Education
Associate of Applied Science - Business Administration
New Mexico State University - Dona Ana Community College
Las Cruces, NM12-2019
Skills
- Business Analysis
- Software Development
- Data Entry
- Salesforce CRM experience
- Product Knowledge - Work Force Management
- HIPAA Compliance
- Eligibility Determination
- Teamwork and Collaboration
- Account management expertise
- Time management abilities
- Adaptability
- Microsoft Office
Languages
Spanish
Native/ Bilingual
Timeline
Benefit Solution Specialist
ADP
04.2022 - Current
Operations Manager
Five Points Health Benefit Plans
04.2021 - 04.2022
Associate of Applied Science - Business Administration
New Mexico State University - Dona Ana Community College
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